Organization Active NPI

Accupath Diagnostic Laboratories Inc

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1306757760
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ACCUPATH DIAGNOSTIC LABORATORIES INC
Practice address
5005 S 40TH St Ste 112
Phoenix, AZ 85040-2969
Phone
(888) 650-9991
Fax
(888) 804-0426
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Fedrick
Title
Manager
Phone
(888) 650-8119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5005 S 40TH St Ste 112
Phoenix, AZ 85040-2969

Mailing address

5005 S 40TH St Ste 112
Phoenix, AZ 85040-2969
Phone (888) 650-9991

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1306757760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 S 40TH ST STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402969",
            "telephone_number": "888-650-9991",
            "fax_number": "888-804-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 S 40TH ST STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402969",
            "telephone_number": "888-650-9991",
            "fax_number": "888-804-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUPATH DIAGNOSTIC LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "FEDRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-650-8119"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.